This article abstract below reviews the benefits of checking Blood Pressure in your Right and Left arm and using the information to evaluate risk for vascular disease.
This is an easy inexpensive test that can be done at home or in your doctors office.
a difference of systolic Blood pressure between the Right and left arm of;
* 10 was associated with increased risk of peripheral vascular disease ( arteries in the legs and feet)
*15 or more is associated with increased risk of peripheral vascular disease, preexisting
cerebral vascular and cardiovascular disease
"A difference in SBP of 10 mm Hg or more, or of 15 mm Hg or more, between arms might help to identify patients who need further vascular assessment. A difference of 15 mm Hg or more could be a useful indicator of risk of vascular disease and death."
This easy test is another tool that can help us be more comfortable with our current treatment program or may encourage us to have further vascular assessment and to become more aggressive with our lipid and blood pressure management.
The Lancet Volume 379, issue9819, page 905-910 , 10 March 2012
Association of a difference in systolic blood pressure between arms with vascular disease and mortality: Review and meta- analysis
Have Fun, be Smart and Defeat Diabetes
Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta-analysis
Differences in systolic blood pressure (SBP) of 10 mm Hg or more or 15 mm Hg or more between arms have been associated with peripheral vascular disease and attributed to subclavian stenosis. We investigated whether an association exists between this difference and central or peripheral vascular disease, and mortality.
We searched Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, Cochrane, and Medline In Process databases for studies published before July, 2011, showing differences in SBP between arms, with data for subclavian stenosis, peripheral vascular disease, cerebrovascular disease, cardiovascular disease, or survival. We used random effects meta-analysis to combine estimates of the association between differences in SBP between arms and each outcome.
We identified 28 eligible studies for review, 20 of which were included in our meta-analyses. In five invasive studies using angiography, mean difference in SBP between arms was 36·9 mm Hg (95% CI 35·4—38·4) for proven subclavian stenosis (>50% occlusion), and a difference of 10 mm Hg or more was strongly associated with subclavian stenosis (risk ratio [RR] 8·8, 95% CI 3·6—21·2). In non-invasive studies, pooled findings showed that a difference of 15 mm Hg or more was associated with peripheral vascular disease (nine cohorts; RR 2·5, 95% CI 1·6—3·8; sensitivity 15%, 9—23; specificity 96%, 94—98); pre-existing cerebrovascular disease (five cohorts; RR 1·6, 1·1—2·4; sensitivity 8%, 2—26; specificity 93%, 86—97); and increased cardiovascular mortality (four cohorts; hazard ratio [HR] 1·7, 95% CI 1·1—2·5) and all-cause mortality (HR 1·6, 1·1—2·3). A difference of 10 mm Hg or higher was associated with peripheral vascular disease (five studies; RR 2·4, 1·5—3·9; sensitivity 32%, 23—41; specificity 91%, 86—94).
A difference in SBP of 10 mm Hg or more, or of 15 mm Hg or more, between arms might help to identify patients who need further vascular assessment. A difference of 15 mm Hg or more could be a useful indicator of risk of vascular disease and death.
Royal College of General Practitioners, South West GP Trust, and Peninsula Collaboration for Leadership in Applied Health Research and Care.